Ch. 13, § 5. Special Requirements for Certified Center Services

(a) To receive Medicaid payment a certified center shall: (i) Meet Medicaid enrollment requirements pursuant to Medicaid Rules Chapter 3; and (ii) Be certified by and under contract with the Behavioral Health Division for taxonomies to access both Medicaid and Behavioral Health Center benefit plans. (A) If a provider's contract with the Behavioral Health Division terminates, as of the date of termination, the provider will only have access to taxonomies for certified centers and can only bill Medicaid benefit plans. (B) If a provider is not under contract with the Behavioral Health Division, the provider is not considered a behavioral health center as used in this Section. (b) Each member of a certified center's staff who provides case management services shall: (i) Be enrolled as a Medicaid provider pursuant to Medicaid Rules Chapter 3; (ii) Be employed by, or under contract with, a certified center to provide case management services; (iii) Be a clinical professional or clinical staff member. (c) Each member of a certified center's staff who provides Individual Rehabilitative Services (IRS) shall: (i) Be enrolled as a Medicaid provider pursuant to Medicaid Rules Chapter 3; (ii) Be eighteen (18) years of age or older; (iii) Have, at minimum, a GED or a high school diploma; (iv) Be employed by, or under contract with, a certified center to provide IRS services; (v) Complete a basic training program which includes non-violent behavior management; and (vi) Be supervised by the client's primary therapist as evidenced by co-signature of the primary therapist on each IRS progress note. (d) Each member of a certified center's staff who provides mental health or substance use services shall: (i) Be employed by, or under contract with, a certified center; and (ii) Be a clinical professional or clinical staff member who meets the requirements of the specific service and who practices within the scope of their license or certification.